Shaqualah Renee Johnson
Shaqualah Renee Johnson is a Substance Abuse Rehabilitation Facility in Youngstown, Ohio. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
2151 Rush BlvdYoungstown, OH 44507-1535
Phone: (330) 744-1181
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Substance Abuse Rehabilitation Facility (primary) | Taxonomy 324500000X |
|---|
Record details
| NPI number | 1619582376 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 10, 2020 |
| Last updated in NPPES | September 10, 2020 |
| Certification date | September 10, 2020 |
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Carol Chandler, LPN
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Mrs. Sophie E Davis, LCDCII
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Janet Rose Jackson, RN
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Shirley Jackson
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Mrs. Linda May Kanche, RN
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Mildred Lawler I
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Faye Charmaine Miller
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Juanita Sharper
2151 Rush Blvd, Youngstown, OH 44507-1535 · (330) 744-1181